https://scholars.lib.ntu.edu.tw/handle/123456789/547866
標題: | Postnatal outcome of fetal cardiac echogenic foci | 作者: | Liu H.-H. MING-TAI LIN Chang C.-C. JOU-KOU WANG MEI-HWAN WU MING-KWANG SHYU CHIEN-NAN LEE FON-JOU HSIEH |
公開日期: | 2002 | 卷: | 101 | 期: | 5 | 起(迄)頁: | 329-331 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background and Purpose: Cardiac echogenic foci are found frequently during fetal echocardiographic investigations and may be related to increased mineralization of the papillary muscles. However, data from postnatal follow-up are limited. This study investigated the clinical characteristics and postnatal echocardiographic findings in infants with cardiac echogenic foci identified prenatally. Methods: Between March 1995 and April 1998, 43 fetuses were noted to have cardiac echogenic foci during the second trimester. Postnatal evaluation was completed for 20 of these 43 fetuses. No other congenital malformations were noted during the fetal stage or after birth. Postnatal echocardiography was performed from 17 months to 4 years and 7 months after birth. Results: Seven (35%) infants had persistent cardiac echogenic foci. However, only one had mild mitral valve prolapse without mitral regurgitation. All fetuses had left ventricular (LV) foci and three also had right ventricular (RV) foci. One infant who had a LV focus prenatally was noted to have a RV focus on postnatal follow-up. Among the three infants with prenatal biventricular involvement, only one had biventricular involvement on postnatal follow-up. Other cardiac echogenic foci had disappeared in all infants. The probability of persistence of foci decreased with age and reached 50% at the age of 4 years and 4 months. Thereafter, cardiac echogenic foci tended to regress and only 11% of infants had persistence at the last follow-up. No significant difference was found in the rate of persistence between children with univentricular foci and those with biventricular foci. Conclusions: Although some fetal cardiac echogenic foci may persist after birth, fetal echogenic foci were not associated with significant intracardiac or extracardiac anomalies. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036302556&partnerID=40&md5=d586450f5eeeb8a30d08fbb8b4e28bac https://scholars.lib.ntu.edu.tw/handle/123456789/547866 |
ISSN: | 0929-6646 | SDG/關鍵字: | article; childbirth; clinical feature; congenital malformation; controlled study; echocardiography; fetus; fetus echography; follow up; heart disease; heart left ventricle; heart papillary muscle; heart right ventricle; human; medical assessment; mineralization; mitral valve prolapse; mitral valve regurgitation; outcomes research; perinatal period; probability; second trimester pregnancy; Child, Preschool; Echocardiography; Female; Fetal Heart; Humans; Infant; Pregnancy |
顯示於: | 醫學系 |
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